Fig. 5

Left gluteal and thigh compartment syndrome, fasciotomy, and closure. a1 and a2 show the gluteal and thigh regions 40 h after the accident; the gluteal to the thigh region on the left were markedly swollen and tense, and blisters were noted on the medial thigh. b1 Markers of the planned skin incision; the gluteal incision was made according to the Kocher–Langenbeck approach, and the incision was extended over the lateral thigh. Three separate anatomic gluteal compartments composed of the gluteus maximus, gluteus medius/minimus, and tensor fascia lata; and the anterior compartment of the thigh were decompressed. The colorations of the gluteus maximus, gluteus medius, and gluteus minimus were poor. The vastus lateralis was protruded (b2). c Delayed primary closure of the gluteal and thigh regions. *: gluteus maximus, †: gluteus medius, ‡: tensor fasciae lata, §: vastus lateralis